Jacqualin Alexis Lyden, PA-C in Danville, PA - Medicare Physician Assistant

Jacqualin Alexis Lyden, PA-C is a medicare enrolled "Physician Assistant" in Danville, Pennsylvania. Her current practice location is 100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 271-6211.

Jacqualin Alexis Lyden is licensed to practice in Pennsylvania (license number MA063788) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558098616.

Contact Information

	Jacqualin Alexis Lyden, PA-C
	100 N Academy Ave, Danville, PA 17822-0001
	(570) 271-6211
	(570) 271-6507

Map and Direction

Provider's Profile

Full Name	Jacqualin Alexis Lyden
Gender	Female
Speciality	Physician Assistant
Location	100 N Academy Ave, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558098616
Provider Enumeration Date: 08/08/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9537536404
Enrollment ID: I20221104002833

Medical Identifiers

Medical identifiers for Jacqualin Alexis Lyden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558098616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA063788 (Pennsylvania)	Primary
363AM0700X	Physician Assistant - Medical	MA063788 (Pennsylvania)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqualin Alexis Lyden is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqualin Alexis Lyden, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Jacqualin Alexis Lyden, PA-C 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 271-6211

Reviews and Comments

Physician Assistant Nurses in Danville, PA

Ms. Monisa Deanne Wagner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 Fax: 570-271-6002
Lauren Scheeler, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6437 Fax: 570-271-6663
Michael Caputo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955
Courtney Zoey Earnest, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Shannon Taylor Borissov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211
Courtney Marie Holley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361
Erin E. Kohrherr, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841

Jacqualin Alexis Lyden, PA-C - Medicare Physician Assistant in Danville, PA